1407807118 SHOPKO STORES OPERATING CO LLC

Community/Retail Pharmacy

Active

Basic Information

Organization Name
SHOPKO STORES OPERATING CO LLC
Enumeration Date
May 15, 2006
Last Update
June 6, 2014
Authorized Official
MR. MICAEL J BETTIGA RPH
SR. VICE PRESIDENT HEALTH SERVICES
Phone: (920) 429-4297

Practice Location

Address
3025 HAMILTON BLVD
SIOUX CITY, IA 511042407
Phone
(712) 255-8055
Fax
(712) 255-4784

Mailing Address

Address
3025 HAMILTON BLVD
SIOUX CITY, IA 511042407
Phone
(712) 255-8055
Fax
(712) 255-4784

Specialties & Taxonomies

Specialty Code Classification License State Primary
Durable Medical Equipment & Medical Supplies
332B00000X Durable Medical Equipment & Medical Supplies N/A N/A No
Eyewear Supplier
332H00000X Eyewear Supplier N/A N/A No
Community/Retail Pharmacy
Community/Retail Pharmacy
3336C0003X Pharmacy 514 IA Primary

Other Identifiers

Identifier Type State Issuer
8531562 05 SD N/A
9164712 05 SD N/A
0495028 05 IA N/A
1613531 01 N/A NCPDP NUMBER
41098505408 05 NE N/A
8531560 05 SD N/A
10025413500 05 NE N/A
0208470 05 IA N/A

Frequently Asked Questions

What is SHOPKO STORES OPERATING CO LLC's NPI number?
SHOPKO STORES OPERATING CO LLC's NPI number is 1407807118.
Which doctor has NPI number 1407807118?
The doctor with NPI number 1407807118 is SHOPKO STORES OPERATING CO LLC.
What is SHOPKO STORES OPERATING CO LLC's practice address?
SHOPKO STORES OPERATING CO LLC's practice address is 3025 HAMILTON BLVD, SIOUX CITY, IA, 511042407.
Which doctor practices at 3025 HAMILTON BLVD, SIOUX CITY, IA, 511042407?
SHOPKO STORES OPERATING CO LLC practices at 3025 HAMILTON BLVD, SIOUX CITY, IA, 511042407.
What is SHOPKO STORES OPERATING CO LLC's phone number?
SHOPKO STORES OPERATING CO LLC's phone number is (712) 255-8055.
Who is (712) 255-8055?
(712) 255-8055 is the phone number for SHOPKO STORES OPERATING CO LLC.
What is SHOPKO STORES OPERATING CO LLC's specialty?
SHOPKO STORES OPERATING CO LLC's specialty is Community/Retail Pharmacy.
What type of doctor is SHOPKO STORES OPERATING CO LLC?
SHOPKO STORES OPERATING CO LLC is a Community/Retail Pharmacy.
Is SHOPKO STORES OPERATING CO LLC a Community/Retail Pharmacy?
Yes, SHOPKO STORES OPERATING CO LLC is a Community/Retail Pharmacy.
Is SHOPKO STORES OPERATING CO LLC still practicing?
Yes, SHOPKO STORES OPERATING CO LLC is currently practicing.
Is SHOPKO STORES OPERATING CO LLC accepting new patients?
SHOPKO STORES OPERATING CO LLC may be accepting new patients. Please call their office at (712) 255-8055 to inquire about availability.
Is NPI 1407807118 still active?
Yes, NPI 1407807118 is currently active.
Where does SHOPKO STORES OPERATING CO LLC practice?
SHOPKO STORES OPERATING CO LLC practices in SIOUX CITY, IA.